Outpatient & Multispecialty Medical Coding Auditor

Cognizant; New York (NY); Remote; USD 54,000 - 55,000; Full time

Benefits offered by this job

Medical/Dental/Vision/Life Insurance

Paid holidays plus Paid Time Off

401(k) plan and contributions

Long‑term/Short‑term Disability

Paid Parental Leave

Employee Stock Purchase Plan

Job summary

Cognizant is seeking an Outpatient & Multispecialty Medical Coding Auditor to audit facility outpatient and ProFee coding across multiple specialties. The role supports a remote work arrangement for qualified applicants in the United States.

Responsibilities include auditing ED/facility encounters, communicating with providers for documentation improvement, and delivering education on coding opportunities while maintaining accuracy and compliance with regulatory standards.

Qualifications

• Minimum five years of outpatient facility auditing experience.
• Experience auditing professional fee (ProFee) coding.
• Strong experience auditing Evaluation and Management (E/M) and procedural coding.

Responsibilities

• Audit facility outpatient records for coding accuracy and reimbursement integrity.
• Audit ProFee coding including E/M services across multiple specialties.
• Review documentation to validate CPT, HCPCS, ICD-10-CM codes and conversions.
• Provide coding education and feedback to providers and clients.
• Complete audit reports within established turnaround times.

Skills

Auditing proficiency

Coding knowledge

Communication skills

Independent worker

Team collaboration

Microsoft Office

Education

CCS, RHIT, RHIA (AHIMA), CPC, or COC (AAPC) certification

Job description

About the role

As an Outpatient & Multispecialty Medical Coding Auditor, you will make an impact by auditing both facility outpatient and professional fee medical coding across multiple specialties. You will be a valued member of the Cognizant team and work collaboratively with stakeholders, providers, and coding teams to ensure coding accuracy, compliance, and adherence to industry standards.

We strive to provide flexibility wherever possible. Based on this role's business requirements, this is a remote position open to qualified applicants in the United States.

In this role, you will:

• Audit facility outpatient medical records for coding accuracy, compliance, and reimbursement integrity.
• Audit professional fee (ProFee) coding, including Evaluation and Management (E/M) services and procedural coding.
• Audit coding across multiple specialties, including but not limited to Cardiology, Orthopedics, Surgery, Internal Medicine, Pediatrics, OB/GYN, and other physician specialties.
• Review clinical documentation to validate diagnosis, procedure, CPT, HCPCS, and ICD-10-CM code assignment.
• Audit Emergency Department (ED) professional services and outpatient facility encounters.
• Communicate with providers and stakeholders to clarify documentation and coding opportunities.
• Provide coding education and feedback to providers, coders, and clients.
• Conduct quality assurance reviews and peer reviews as assigned.
• Complete audit reports and documentation within established turnaround times.
• Ensure services provided to clients remain current with coding, billing, and compliance requirements.
• Conduct additional audits, reviews, and related projects as assigned.
• Maintain minimum accuracy and productivity standards established by the company and client.

What you need to have to be considered

• CCS, RHIT, RHIA (AHIMA), CPC, or COC (AAPC) certification.
• Minimum of five years of outpatient facility auditing experience. with an additional two years of coding experience or ten years of coding experience.
• Experience auditing facility outpatient services.
• Experience auditing professional fee (ProFee) coding.
• Strong experience auditing Evaluation and Management (E/M) services and procedural coding.
• Experience auditing across multiple specialties rather than a single specialty focus.
• Experience auditing specialties such as Cardiology, Orthopedics, Surgery, Internal Medicine, Pediatrics, OB/GYN, and other physician specialties.
• Knowledge of Federal, State, and payer regulations.
• Ability to interpret medical records, clinical reports, and provider documentation.
• Ability to work independently and as part of a team.
• Strong critical thinking, judgment, and decision‑making skills.
• Strong verbal and written communication skills.
• Proficiency in Microsoft Office applications including Word, Excel, and Outlook.

Important Qualification

• This role requires experience with outpatient facility auditing and professional fee multispecialty auditing.
• Candidates must have experience auditing E/M services, procedures, and coding across multiple physician specialties.

These will help you stand out

• EPIC experience.
• 3M experience.

We're excited to meet people who share our mission and can make an impact in a variety of ways.

Salary and Other Compensation

Applications will be accepted until November 12th, 2025.

The annual salary for this position is between $39.00-$40.00 an hour depending on the experience and other qualifications of the successful candidate.

This position is also eligible for Cognizant’s discretionary annual incentive program and stock awards, based on performance and subject to the terms of Cognizant’s applicable plans.

Benefits

• Medical/Dental/Vision/Life Insurance
• Paid holidays plus Paid Time Off
• 401(k) plan and contributions
• Long‑term/Short‑term Disability
• Paid Parental Leave
• Employee Stock Purchase Plan

Disclaimer: The salary, other compensation, and benefits information is accurate as of the date of this posting.

Cognizant reserves the right to modify this information at any time, subject to applicable law.